Elkhorn Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELKHORN PHYSICAL THERAPY PC

Practice address

20289 Wirt St.
Elkhorn, NE 68022-1417

Phone

(402) 289-3288

Fax

(402) 289-2550

NPI assigned

Apr 21, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roland D Kleeman, PTNPI 1417919069

Title

Physical Therapist

Phone

(402) 289-3288

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roland D Kleeman, PT

  • Physical Therapist
  • Omaha, NE
  • NPI 1417919069
  NPD (past) Authorized official
• Angela D Tripple, DPT

  • Physical Therapist
  • Elkhorn, NE
  • NPI 1376505016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1073579819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20289 WIRT STREET",
            "address_2": "PO BOX 177",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680221417",
            "telephone_number": "402-289-3288",
            "fax_number": "402-289-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20289 WIRT ST.",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680221417",
            "telephone_number": "402-289-3288",
            "fax_number": "402-289-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHORN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KLEEMAN",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-289-3288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02067",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Lynn Eicher, PHARMD
• Sena Rae Elizabeth Eicher
• Amy Eichler
• Lyla Hossam El-Refaie
• Elkhorn Chiropractic LLC
• Elkhorn Public Schools
• Elkhorn RX Inc (Elkhorn Drug)
• George J Emodi, MD
• Courtney Lynn English
• Christopher C Erickson, D.P.T.

• Physical Therapist in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.